Individual provider · Type 1 NPI

Michael Joseph Crivellaro, PharmD

Pharmacist · Conyers, GA

NPI number 1710260930 Active

Practice location

1510 Milstead Ave NE
Conyers, GA 30012-8030

Fax (770) 785-7257

Mailing address

195 Hazelhurst Dr
Covington, GA 30016-1322

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000XRPH016826 (GA)

Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…

4 other providers at this address

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About NPI 1710260930

Michael Joseph Crivellaro, PharmD's National Provider Identifier is 1710260930, issued on Sep 23, 2011. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Conyers, GA. The record was last updated on Sep 23, 2011.